Individual
DR. KRISTEN WYMORE WATERBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128-2181
(314) 406-2879
Mailing address
10004 KENNERLY RD STE 230A, SAINT LOUIS, MO 63128-2181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021023210
MO
Other
Enumeration date
06/14/2017
Last updated
10/15/2021
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